BAYCARE MEDICAL GROUP PEDIATRIC WALK-IN CARE LLC (NPI# 1861850117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861850117 |
| Entity Type | Organization |
| Organization Name | BAYCARE MEDICAL GROUP PEDIATRIC WALK-IN CARE LLC |
| Practice Address |
4211 Van Dyke Rd Suite 100 Lutz FL 33558-8005 |
| Mailing Address |
Po Box 743409 Atlanta GA 30374-3409 |
| Practice Telephone | 8139601813 |
| Practice Fax Number | 8134438172 |
| Mailing Telephone | 7275320002 |
| Mailing Fax Number | 7275321325 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |
| Authorized Official Name | MR. KEVIN L CORRIGAN (CAO) |
| Authorized Official Telephone | 7275320002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4211 VAN DYKE RD SUITE 100 |
| City | LUTZ |
| State | FL |
| Zip Code | 33558-8005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841937 | Ronald Eugene Stephans Jr. | Family Medicine | 4211 Van Dyke Rd, Suite B, Lutz, FL 33558-8005 | 2005-06-20 |
| 1871119008 | Jeysi Alvarez | Anesthesiologist Assistant | 4211 Van Dyke Rd, Lutz, FL 33558-8005 | 2020-06-23 |
| 1548884364 | Garren Dial | Anesthesiologist Assistant | 4211 Van Dyke Rd, Lutz, FL 33558-8005 | 2020-06-08 |
| 1861028409 | Chf Care Pllc | Internal Medicine | 4211 Van Dyke Rd, Lutz, FL 33558-8005 | 2020-03-16 |
| 1457623233 | St Josephs Hopsital | Nurse Practitioner | 4211 Van Dyke Rd, Lutz, FL 33558-8002 | 2012-02-08 |
| 1710266507 | Emergency Medical Associates of Tampa Bay LLC | Emergency Medicine | 4211 Van Dyke Rd, Lutz, FL 33558-8002 | 2011-08-10 |
| 1194016006 | Tampa Cardiac Specialists LLC | Internal Medicine | 4211 Van Dyke Rd, Suite 205, Lutz, FL 33558-8002 | 2011-04-26 |
| 1710277249 | Brett A Armstrong | Surgery | 4211 Van Dyke Rd, Suite 200, Lutz, FL 33558-8004 | 2011-04-18 |
| 1881995579 | Deana M Lantz | Nurse Practitioner | 4211 Van Dyke Rd, Suit 101b, Lutz, FL 33558-8005 | 2010-11-11 |
| 1316268147 | Emergency Medical Associates of Florida LLC | Emergency Medicine | 4211 Van Dyke Rd, Lutz, FL 33558-8002 | 2010-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1780175273 | Elder Services of Central Florida, Inc | Home Health | 17901 Hunting Bow Cir Ste 101, Lutz, FL 33558 | 2018-05-21 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1376905851 | Michelle Renee Story | Contractor | 20921 Haulover Cv. #f6, Lutz, FL 33558 | 2016-03-24 |
| 1992192223 | Melissa Sonia Giblin | Specialist/Technologist, Other | 17535 Darby Ln, Lutz, FL 33558 | 2015-04-24 |
| 1396177739 | Zoe Scripts Laboratory Services LLC | Clinical Medical Laboratory | 4969 Van Dyke Rd., Lutz, FL 33558 | 2013-08-08 |
| 1649617705 | Suzanne Marie Newby | Physician Assistant | 16541 Pointe Village Dr Ste 209, Lutz, FL 33558 | 2013-05-30 |
| 1073889572 | Julie J. Mckean, Lmhc, Ncc, LLC | Counselor | 4929 Van Dyke Road, Lutz, FL 33558 | 2012-03-29 |
| 1750524864 | Sheetal Suryawanshi | Dentist | 17735 Hunting Bow Circle, Lutz, Florida, FL 33558 | 2009-04-20 |
| 1063675478 | Juan J Egas | Physical Medicine & Rehabilitation | 17807 Hunting Bow Cir, Lutz, FL 33558 | 2008-07-07 |
| Find all providers in zip 33558 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457778383 | Ryan Allen Baker | Pediatrics | 1854 Oak Grove Blvd, Lutz, FL 33559-8605 | 2014-03-28 |
| 1780010512 | Yanina Abaunza-fiallos Md Pa | Pediatrics | 17541 N. Dale Mabry Hwy., Lutz, FL 33548 | 2013-09-25 |
| 1891006888 | Wendy J Masterman | Pediatrics | 21758 State Road 54, Lutz, FL 33549-6921 | 2010-06-24 |
| 1336398163 | Mildred J Perea-bonet | Pediatrics | 1942 Highland Oaks Blvd Ste B, Lutz, FL 33559-7410 | 2008-09-17 |
| 1336365907 | Nirmala Inc | Pediatrics | 18928 N. Dale Mabry Hwy, Ste 102, Lutz, FL 33548 | 2007-04-18 |
| 1578616447 | Sanjeev Grover | Pediatrics | 217 Crystal Grove Blvd, Suite 102, Lutz, FL 33548-6465 | 2007-01-22 |
| 1558433359 | Yanina J Fiallos | Pediatrics | 17541 N Dale Mabry Hwy, Lutz, FL 33548-4521 | 2006-11-15 |
| 1336165265 | Robert A Buzzeo | Pediatrics | 1932 Highland Oak Boulevard, Lutz, FL 33559 | 2006-07-14 |
| 1467419747 | Linda Ann Terrone | Pediatrics | 4927 Van Dyke Rd, Lutz, FL 33558-4813 | 2006-04-28 |
| 1730182312 | Jose Enrique Colon | Pediatrics | 4683 Van Dyke Rd, Lutz, FL 33558-4880 | 2005-05-27 |
| Find all providers in LUTZ | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.